Isolated optic nerve lymphoma diagnosed by optic nerve biopsy.
Publication/Presentation Date
6-1-2005
Abstract
PURPOSE: To report a case of isolated optic nerve lymphoma diagnosed by optic nerve biopsy.
DESIGN: Case report.
METHODS: A 66-year-old woman was referred to the Neuro-Ophthalmology Service because of a decrease in visual acuity and right optic disk edema.
RESULTS: A magnetic resonance image of the brain showed only enhancement of the optic nerve. An examination that included ANA, c-ANCA, p-ANCA, Lyme titers, FTA-ABS, ACE level, chest x-ray, and lumbar puncture was negative. Because of rapid progression on clinical examination and serial imaging, an optic nerve biopsy was performed, which showed B-cell lymphoma.
CONCLUSION: Optic nerve lymphoma can be confused with a variety of inflammatory and neoplastic infiltrations of the optic nerve on clinical and radiographic examinations. Optic nerve biopsy can be valuable in diagnosing isolated optic nerve lymphoma if other diagnostic tests are unrevealing, but the procedure carries considerable risk of loss of visual acuity and should be recommended judiciously.
Volume
139
Issue
6
First Page
1128
Last Page
1130
ISSN
0002-9394
Published In/Presented At
Behbehani, R. S., Vacarezza, N., Sergott, R. C., Bilyk, J. R., Hochberg, F., & Savino, P. J. (2005). Isolated optic nerve lymphoma diagnosed by optic nerve biopsy. American journal of ophthalmology, 139(6), 1128–1130. https://doi.org/10.1016/j.ajo.2004.12.006
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
15953457
Department(s)
Administration and Leadership
Document Type
Article